HomeMy WebLinkAboutDrain Layers Permit Patria Road ..' TOWN OF S rH WINDSOR
DEPARTMENT OF POLLUTION CONTROL
South Windsor, Connecticut
DRAIN LAYER' S PERMIT NO 60
_ I& 7/30/�L 196_
Pursuant to written application, permission is hereby granted to the Licensed Drain Layer named herein to perform
the work indicated below at J`p�}}ATAIA AC atlk nft —S-4tiyli.4 AgrwttAr on the
5car00 side, between e�mNN�irC+N t`*cutl►�1A�tp pi.,�,Q /[fib
at premises owned by
whose address is
and to VLay House Drain, Repair House Drain, V_Lay Main Other
for occupancy or use,
with Family Units, with acres.
Type of Sewage to be connected under this permit:_
ANITARY SEWAG , INDUSTRIAL WASTES, OR
Connection will be made with jfflAkV s a
ATO&Qt s a Asnlo10, P.
Permit to be issued to 01 JCWri AVw4 ` OA+M`AACT04S
the holder of Drain Layer's License No. . Permit will expire on I& ",Agg&vmA4rA, 19 L9
The undersigned Drain Layer hereby agrees to all the terms and conditions set forth on the permit and the reverse side
thereof. Applicant has received Town Permit No. and/or C H D Permit No. dw
for street excavation.
SPECIAL CONDITIONS (IAAtts`b 54EA4194 AND LAY4ffi4A4.0 70 a4e iASTAst +-b poM
7WAMS14 K. 7)".414elAE (P.4C A/o 4399)3.r,wea,.7 AZARD T_ s�v s"AotY i4b9
Signed (0*&LFAwt lj 1WAQ0 1-1� Pgro V#
Connection Charge Paid $ Licensed Drain Layer
(Sig) issued by I►r 41, 4MrVAIQI<
Tax Collector
Permit Fee: Paid $.-2S OA%
INSPECTION: CNdrK iJs.
INITIAL 007C) 1 t.9 (Sig)
FINAL 4 (Sig)
APPROVED ely 64740 driz 469 (Date)
(Sig)
INSPEICTOR
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